Individual
MISS ILEANA M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
H3 CALLE LAS MEDUSAS, DORADO, PR 00646-2140
(787) 395-7480
Mailing address
PO BOX 613, DORADO, PR 00646-0613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5616
PR
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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